Femoral Neck Fracture with Contralateral Hip Dislocation in a Pediatric Patient: A Case Report

This case report presents the unique occurrence of a femoral neck fracture with contralateral hip dislocation in a pediatric patient, a rare and challenging injury pattern. A 9-year-old boy presented following a road traffic accident (RTA) with a right femoral neck fracture and left hip dislocation, along with a left elbow fracture. Management involved closed reduction and percutaneous screw fixation for the femoral neck fracture, while the left hip dislocation was reduced promptly in the emergency room. Postoperatively, the patient was immobilized in a hip spica cast for stability. Post-surgery and reduction x-ray and CT Scan show acceptable reduction and fixation.  Regular follow-up included radiographic assessments and clinical evaluations to monitor for complications, particularly avascular necrosis (AVN) of the femoral head. Favorable outcomes were observed, highlighting the effectiveness of a multidisciplinary approach and meticulous postoperative care in managing complex pediatric orthopedic injuries. This case underscores the importance of prompt diagnosis, precise intervention, and comprehensive follow-up in optimizing outcomes for such rare and challenging cases.